The Mendus Rheumatoid Arthritis Questionnaire
This survey was created by
and is intended as a first step for individuals participating in several of our arthritis-related communities. The survey includes a widely used clinical instrument (the RAPID 3) used to assess symptoms of RA and other forms of arthritis. We have also added questions concerning your basic demographic info, potential disability and other symptoms you suffer from.
To begin enter your
member ID in the first field. If you don't already have one you can get a member ID
The total time to complete the survey will vary but 5-10min would be a safe estimate. Members of Mendus will be able to see their results on the website (
see Results tab
) a day or so after completing the questionnaire. The original instrument upon which ours has been built can be found at the following link. Intellectual credit belongs to the original authors.
Pincus T, Swearingen CJ, Bergman M, Yazici Y. RAPID3 (Routine Assessment of Patient Index Data 3), a rheumatoid arthritis index without formal joint counts for routine care: proposed severity categories compared to Disease Activity Score and Clinical Disease Activity Index categories. J Rheumatol 2008;35:2136 – 47.
Let's get started...
Please enter your Mendus member ID?
What country do you live in?
To which ethnic group do you belong to?
If other please specify:
What is your height?
What is your weight?
What is your date of birth?
What is your gender?
< your choices >
Prefer not to answer
Have you been officially diagnosed with rheumatoid arthritis or ankylosing spondylitis? It is okay if you do not have an official diagnosis. It will not influence your involvement in Mendus projects in any way.
If yes, what year were you diagnosed?
Who diagnosed you with rheumatoid arthritis or ankylosing spondylitis?
I do not have Rheumatoid Arthritis
What is your current work status? (Check any that apply)
If you're aware of having a history of any of the following conditions please indicate which ones.
Human T-cell Lymphotropic Virus Type I
Mycoplasma bacterial infection
Do you have any other medical illnesses? If so, please provide the name(s) and, if possible, the year it began.
Do you have any known allergies or food sensitivities? If so, please name them and if possible indicate the year they began.
Do you have any vitamin or mineral deficiencies that you're aware of? If so, please name them and if possible indicate the year they began.
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